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This prevents pituitary downregulation and maintains long-term responsiveness

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Laboratory test results are shown below: Component Result AST, U/L ALT, U/L ALP, U/L Total bilirubin, mg/dL Serum albumin, g/dL CBC Hepatitis B surface antigen Hepatitis B surface antibody Hepatitis B core antibody, total Hepatitis C antibody ANA ASMA AMA Iron studies 1-Antitrypsin phenotype 70 84 90 0.9 4.0 Normal Negative Positive Negative Negative 1:40 Negative Negative Normal MM Ultrasonography of the liver shows an enlarged, echogenic liver with patent portal and hepatic veins and no radiographic signs of portal hypertension or cirrhosis